Asessing Utilization of Family Planning Services among Women of Reproductive Age (15-49 Yrs) in North Kanyabala Sub-Location, Homabay Sub-County

Abstract

Introduction

The Kenya government in collaboration with other stakeholders involved in the provision of family planning services have put in place various strategies and policies to increase uptake of family planning services. These are aimed at increasing contraceptive prevalence rate (CPR), reduction in both total fertility rate (TFR) and unmet need for family planning services. Despite the various strategies and policies, total fertility rate still remains high at 4.6 percent, while CPR and unmet need for family planning are estimated at 46 percent and 24 percent, respectively.

Methods

The purpose of the study was to assess the utilization family planning services and to identify the determinants of demand for family planning services among women of reproductive age in North Kanayabala sub location, Homa bay Sub County The study used a cross sectional descriptive design to assess to realize the objectives of the study. The target population constituted women of reproductive age between15-49 years, who were identified through cluster convenience sampling. Primary data was collected from the women using a semi structured questionnaire. Data collected was cleaned, coded and edited for completeness and accuracy before it was entered into the computer package. Data was then analyzed using statistical package for social sciences (SPSS).

Results and findings

The study revealed low usage of contraceptives compared to the national level (53 %). Use of the services varied in terms of level of education and sources of income. Various factors accounted for the low use of family planning services. These included partner’s approval, personal choice, pregnancy and the woman’s knowledge on family planning.

Conclusion

To increase the use of family planning services among women of reproductive age in North Kanayabala Sub-location, activities of community based distribution should be revived and enhanced, promotion of family planning education and activities at the household level should be accorded priority. Formation of lobby groups to enhance cultural change, awareness creation and counselling and integrating family planning services with other health care services are recommended.